Hey all you OB nurses! What are thoughts about an MD asking nursing to do no external monitoring on an inpt OB? She is in for preterm contractions and has cervical shortening with a small amount of cervical dilation which is now stable. It makes me wonder why you admit someone for this problem, but take away our primary assessment tool. I took it to my supervisor, and she agrees that it is wrong. Even prn for contractions?
May 8, '11
Is it possible that the patient absolutely refused this as an intervention but still the provider thought that hospitalization for observation was necessary ?
Was there any indications for the rationale in his progress or admitting notes ?
Otherwise it surely would not be in his or the patients with preterm labor interest not to have a monitor should there be litigation. This of course is not considering the medical complications that could be avoided.
Last edit by SilentfadesRPA on May 8, '11